1115 10601-A I So_ Highway 4
NO. "ST EET-s- LCT NO.
�IELECTRICAL PERMIT
AUG 2 $ ICICUPERTINO
'6 I ///
Date r—jT*3gj 19(51.— Permit No. b -
VI Il Ur �Q Fee s 3.00
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the ElectricaPCode of the
f� City of Cupertino, and all other laws applicableAhereto.
;/dz�
v Use of Premi
u
Owner Cupertino 1 QAddress P. 0- yox 616
By C ertin Electric I Address P. 0 x 616
CONTMCfOA, nGEirr / Approved `
AL 2-� 1000 -' EeCmaL n PECTOa '
- ° - v;
NEW RPL FEES
Size Service Conduit---------------------Number of Outlets.------------------ .1D..- -- -- ---- --
Size Service Wires--------------------------Number of Switches._------------ ---------- --------- ----------.
Size Service Switch-----------------------Number of Receptacles.--------- ---------- ---------- ----------------
Size Sub Feed Conduit----------------.Number of Fixtures------------:---- --10.-. ---------- --I�.aa
Size Sub Feed Wires...-------------.'mages---------------- KW-------------- ---------- ----------- -------------
Number of Circuits..-' " Oven -------------- KW... --------
- ----`----
Number of Meters........................Signs---------- Transformers-.------ ---------- ---------- --------------
Misc------------------------------------------------D ryers---------------------------------------- ---------- ---------- --------------
Motors-------------------- HP..... ............. Phase------------------ - Permit Fee $1.00
Motors'--..J............. HP-------------------- Phase--------------------
Motors-------------------- HP-------------------- Phase—----------------- H P Charge..-------------I------------
TOTAL
------------
TOTAL FEES- 3-on
RRDFFL�.NSPEcr[ON APPROVALS
Rough Wiri 4 .A..E 5 - 0. Fixtures --------0-A-I-E --------IN-SPEC-T-0-R------
T
FinishWirin D A CT tots ..
.AT I 'IT 0.
Fin ---
INSPICTOR - --